Kei te pēhia koe e te ahua he puku kei roto i tō kaki? Me kōrero tātou mō te Matepukupuku Tairoiti Follicular!

Kua rongo koe i tētahi puku i roto i tō kaki? Kua kite rānei koe i tētahi panonitanga o tō reo, i tētahi uauatanga rānei ki te horomi? He mea noa ēnei i ētahi wā, engari i ētahi wā he tohu pea tēnei o tētahi raruraru ki tō repe tairoi. Nā reira i whakaaro ai mātou i tēnei rā kia kōrerohia tēnei mea e kiia nei ko te matepukupuku tairoi follicular. Kaua e mataku, he mea tino nui kia mōhio koe ki tēnei.

Nā, he aha tēnei repe tairoi?

Āe, me titiro tuatahi tātou ki te repe tairoiti. He okana iti te āhua, he rite ki te pūrerehua, kei mua o tō kaki. Hei whakamārama, he rite ki raro i tō puku manawa. He wāhanga o te pūnaha endocrine o tō tātou tinana. Ko tana mahi matua he whakaputa homoni . He maha ngā mea nui o roto i tō tātou tinana e whakahaere ana i ēnei homoni. Hei tauira, he mea nui ēnei homoni tairoiti mō te pākia o te tinana , arā, te huri i te kai e kainga ana e tātou hei pūngao, me ngā mea pēnei i te whakahaere i te taumata o te konupūmā i roto i te toto.

Nō reira, ka puta te mate pukupuku tairoi ina tīmata ngā pūtau i roto i te repe tairoi ki te tipu rerekē, me te kore e taea te whakahaere, mō tētahi take.

E hia ngā momo matepukupuku tairoi kei reira?

Āe, e whā ngā momo matua o te matepukupuku tairoi. Ka wehewehea, ka tautuhia hoki ēnei e ngā tākuta mā te tirotiro i ngā pūtau matepukupuku i raro i te karuārai.

Ko rātou ēnei:

• Matepukupuku follicular: I tēnei rā ka kōrero tātou mō tēnei momo.
• Matepukupuku papillary: Koinei te momo tino noa.
• Matepukupuku waenga.
• Matepukupuku anaplastic: He ahua kino ake tēnei, engari he tino onge.

Ka whakarōpūtia anō ēnei mate pukupuku hei:

• Matepukupuku rerekē pai: He rite tonu ēnei pūtau ki ngā pūtau tairoi noa i tētahi wāhi. Nā tēnei ka māmā ake te rongoā, ā, he maha ngā wā ka taea te whakaora katoa. Kei roto i tēnei kāwai ngā momo follicular me ngā momo papillary.
• Matepukupuku kāore anō kia rerekē: He tino rerekē ēnei pūtau i ngā pūtau noa, ā, he uaua ake te rongoā. Ko te matepukupuku anaplastic tētahi o ēnei momo.

He aha te rerekētanga i waenga i te mate pukupuku follicular me te mate pukupuku papillary?

Ka tīmata ngā momo e rua i roto i ngā pūtau follicular o te repe thyroid, nō reira he maha ngā āhuatanga ōrite i waenganui i ngā mea e rua. Heoi, he nui ake te tūponotanga o te horapa o te papillary carcinoma ki ngā kōpū lymph i te follicular carcinoma. He nui ake hoki te kitea o te papillary carcinoma i te follicular carcinoma.

He aha te rerekētanga i waenga i te mate pukupuku follicular me te mate pukupuku medullary?

He pukupuku neuroendocrine te mate pukupuku tairoi waenga-ira.Ngā pukupuku neuroendocrine. Ka puta mai ēnei i ngā pūtau-C i roto i te repe tairoi. Ka whakaputahia e ēnei pūtau-C he homoni e kiia nei ko te calcitonin . Mā tēnei homoni e whakahaere te taumata o te konupūmā i roto i ō tātou toto. He kaha ake te kaha o ngā pukupuku medullary i ngā pukupuku follicular, arā, ka tere te horapa. Tērā pea he hononga anō hoki ki tētahi hītori whānau o te mate.

Ko wai ka pāngia e te mate pukupuku tairoi follicular?

Ka pā pea tēnei ki te katoa. Heoi, he nui ake te kitea i roto i ngā wāhine kaumātua . Ko te tikanga he nui ake te mōrearea o ngā wāhine i waenga i te 40-60 tau.

He pēhea te noa o tēnei?

E 10% ki te 15% o ngā matepukupuku tairoi katoa te matepukupuku tairoi. Ko te nuinga o te tangata ka pāngia e te matepukupuku tairoi papillary (e 70% ki te 80%).

He aha ngā pānga o te mate pukupuku tairoi follicular ki ahau?

I ētahi wā, ka puta he puku i roto i tō kaki, ka mamae rānei i te mate pukupuku tairoi follicular. Engari, ki te kitea wawe , ka taea te rongoā me te whakaora katoa. Ki te kore e rongoatia, ka horapa tēnei mate pukupuku (metastasize) ki ētahi atu wāhanga o te tinana. Kia horapa, ka uaua ake te rongoā.

He aha ngā tohu o te mate pukupuku tairoi follicular?

Kia maumahara, i ētahi wā, kāore pea he tohu e kitea ana. Heoi, ki te mea kei a koe tētahi, ētahi rānei o ēnei tohu e whai ake nei, he mea pai kia toro atu koe ki te tākuta:

• He puku, he pupuhi rānei i te kaki (he pona tairoi ). Koinei te tohu tino kitea.
• Te mamae o te taringa, te mamae rānei o te kauae, o te kaki rānei.
• Te pāorooro, te rerekētanga rānei o te reo ( dysphonia ).
• Ngā kōpuku lymph pupuhi i te kaki.
• Te uaua ki te manawa, te horomi rānei ( dysphagia ).

Kaua e wehi i te mate pukupuku nā te mea kei a koe ēnei tohu. Heoi, he mea whakaaro nui te rapu tohutohu hauora.

He aha ngā take o te mate pukupuku tairoi follicular?

Kāore ngā tākuta i te tino mōhio he aha te tipu rerekē o ngā pūtau tairoi. Heoi, kua tautuhia ētahi āhuatanga mōrearea . Hei tauira, ko te pānga o te hihi te take pea. Ko te tikanga tēnei, mēnā kua whiwhi koe i te rongoā hihi ki tō kaki mō tētahi atu mate, mēnā rānei kei te mahi koe i tētahi mahi e whakamahi ana i ngā rauemi hihi, he nui ake tō mōrearea. Ko te hunga e noho ana i ngā rohe he ngoikore te iodine , e kiia ana hoki he nui ake tō mōrearea ki te pāngia e tēnei mate pukupuku.

He mate hopuhopu tēnei mate pukupuku?

Kāo, ehara te mate pukupuku tairoi follicular i te mate hopuhopu . Kāore e taea te hora atu ki tētahi atu.

Kia pēhea te roa ka horapa te mate pukupuku tairoi follicular?

He uaua ki te kī pono i tēnei. I ētahi wā ka tere te horapa o te mate pukupuku, i ētahi wā ka roa pea ngā tau. Ka rerekē te horapa , te tere rānei o te horapa, i ia tangata, i ia tangata. Koia mātou e kī nei he mea nui kia kitea wawetia te mate, kia tīmata ai te maimoatanga.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ina haere koe ki te tākuta, tera pea ka kitea he puku i tō kaki i te wā o te whakamātautau tinana o ia rā. I ētahi wā, tera pea ka kitea he puku i te wā o ngā whakamātautau whakaahua mō tētahi atu take.

Mena ka whakapae te tākuta he puku kei roto, ka whakahaerehia pea e rātou ngā whakamātautau pēnei i:

• Matawai CT
• MRI
• Matawai ultrasound - Koinei te mea e whakamahia whānuitia ana hei tirotiro i ngā puku i te kaki.
• Hiko-X - Kāore e tino kitea ngā pona tairoi, engari ka taea te tango i te hihi-X o te uma hei tirotiro mēnā kua horapa te mate pukupuku ki ngā pukahukahu.

He aha ngā whakamātautau ka mahia hei whakaū?

Ehara i te mea he mate pukupuku ngā puku katoa o te kaki. He maha ngā mea kāore e pā kino . Nō reira, ki te whakapae tō tākuta he mate pukupuku tōu, ka tūtohu pea ia i tētahi koiora tango ngira pai (FNAB). Ko te tikanga o tēnei ko te tango i tētahi tauira iti o ngā pūtau mai i te puku me tētahi ngira pai rawa atu, ā, ka tirotirohia i raro i te karuārai e tētahi tohunga pūtau pūtau . Koinei anake te huarahi hei mōhio mēnā he pūtau mate pukupuku kei roto, kāore rānei.

Me pēhea te rongoā i te mate pukupuku tairoi follicular?

I te nuinga o te wā, ko te pokanga te maimoatanga matua mō te mate pukupuku tairoi follicular.

Ko ngā mea ka taea te mahi mā te pokanga:

• Te tango i te wāhanga anake o te repe tairoiti kei roto te pona ( lobectomy ).
• Te tango i te repe tairoiti katoa ( te tango katoa i te tairoiti ).
• Mena kua horapa te mate pukupuku ki ngā kōpū lymph, ka tangohia hoki aua kōpū lymph.

He maimoatanga kē atu anō kei tua atu i te pokanga?

Āe, i runga i te wāhanga o te mate pukupuku, arā, te whānui o te horapa o te mate pukupuku, me te horapa atu ki ētahi atu okana, ka tūtohutia pea kia tukuna atu he maimoatanga anō i muri i te pokanga.

Ko rātou ēnei:

• Te rongoā radioiodine (RAI): He rongoā noa tēnei mō te mate pukupuku follicular. Nā te mea ka mimitihia e ngā pūtau tairoiti te iodine, ka hoatu te iodine radioactive hei patu i ngā pūtau mate pukupuku e toe ana.
• Te rongoā homoni tairoi:Kia tangohia katoatia te repe tairoiti, me hoatu ki te tinana ngā homoni tairoiti mai i waho. Waihoki, mā te hoatu i ēnei homoni ka āwhina i te whakahaere i te tipu anō o ngā pūtau matepukupuku.
• Whakaora Irahiko Hiko o Waho: I ētahi wā motuhake, inā koa kua horapa te mate pukupuku ki ngā kiko e karapoti ana i te kaki, ka taea te hoatu i tēnei maimoatanga.
• Te rongoā matū: Ehara tēnei i te rongoā noa mō te mate pukupuku tairoi follicular. Ka hoatu mō ngā mate pukupuku kua horapa whānuitia, ā, kāore e aro ki ētahi atu maimoatanga.
• Te rongoā arotahi: He momo rongoā hou ake ēnei e arotahi ana ki ngā ngota motuhake i roto i ngā pūtau matepukupuku, ā, ka iti ake te kino ki ngā pūtau noa.

He pānga taha kei te rongoā?

Ka pā mai ngā momo pānga taha i ngā maimoatanga matepukupuku. He rerekē ēnei i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi tāngata e:

• Korere
• Hiahia kai
• Ngenge
• Te ngaro o te makawe - He mea noa ake tēnei i te wā o te chemotherapy.
• Whakapairuaki me te ruaki
• He uaua ki te kōrero me te horomi (ina koa i muri i te pokanga)
• He uaua ki te arotahi, ki te maumahara rānei ki ngā mea ( chemo brain)
• ngoikore

Ko te mea nui ko te kōrero ki tō tākuta mēnā ka pāngia koe e ētahi pānga taha. He huarahi kei te wātea inaianei hei whakahaere i ngā pānga taha maha.

Kia pēhea te roa o te maimoatanga mō te mate pukupuku tairoi follicular?

Ka tirotirohia e tō tākuta tō urupare ki te maimoatanga i ia wā. Mēnā kua kore te matepukupuku i roto i tō tinana, kāore koe e hiahia ki te maimoatanga hohe. Heoi, mēnā kua tangohia tō repe tairoi, me tango e koe he rongoā whakakapinga homoni tairoi mō te toenga o tō oranga. He mea nui tēnei kia ora tonu ai koe. Ka aroturuki tonu hoki tō tākuta i a koe mō te hokinga mai o te matepukupuku (tiaki whai muri).

He huarahi hei whakaiti i te mōrearea o te whanaketanga o tēnei mate pukupuku?

Kāore he mea nui hei ārai i te mate pukupuku o te tairoi follicular. Heoi, mēnā kua pāngia tētahi o tō whānau e te mate pukupuku, mēnā rānei he āhuatanga mōrearea kē atu āu, he mea pai kia kōrero koe ki tō tākuta mō tēnei mea. Ka taea e ia te kī atu ki a koe mēnā he mea tika kia mahia e koe.

He aha ngā mea ka puta mēnā he mate pukupuku tairoi follicular tōku?

Tuatahi, kaua e mataku. Kōrerohia ki tō tākuta me te āta pātai atu ki a rātou kei tehea te wāhanga o tō mate pukupuku, he aha ngā maimoatanga e taunakitia ana, me ngā mea ka taea e koe te tumanako mai i a rātou. Ka āwhina hoki tō rōpū hauora i a koe ki te whakahaere i ngā pānga taha ka puta i te wā o te maimoatanga. Kātahi ka taea e koe te mahi i ō mahi o ia rā.

Ka taea te whakaora i te mate pukupuku tairoi follicular?

Ae, he maha ngā wā ka taea te rongoā i te mate pukupuku tairoi follicular! Ina koa mēnā ka kitea wawetia.He tino teitei te tūponotanga o te whakaoranga. Nō reira,

• Mena kei a koe ētahi tohu o te mate pukupuku tairoi,
• Ki te mea rānei kei a koe ngā āhuatanga mōrearea mō te whakawhanake i te mate pukupuku tairoi,

Haere tonu ki te tākuta.

Me pēhea taku tiaki i ahau anō?

Ahakoa kua oti te maimoatanga, ka tūtohu pea tō tākuta i ētahi atu maimoatanga whai muri , pērā i ngā whakamātautau toto hei tirotiro i ngā taumata o ō homoni tairoi me ngā matawai hei tirotiro mēnā ka hoki mai anō te mate.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate e taea te rongoā te mate pukupuku tairoi follicular. Nō reira, kaua e mataku, kia tūpato.

• Ki te pā mai he puku i tō kaki, he pupuhi, he rerekē te reo, he uaua ki te horomi, he uaua rānei ki te manawa, rapua tonutia he tohutohu hauora .
• He maha ngā whakamātautau ka mahia e ngā tākuta hei tautuhi i tēnei mate.
• Ko te pokanga te maimoatanga matua, ā, mēnā e tika ana, ka whakaratohia hoki te rongoā iodine radioactive me te rongoā homoni.
• Ki te kitea wawe, ka nui ake te tūponotanga o te ora.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta. E harikoa ana rātou ki te āwhina i a koe. Kia ora tonu!

` Te mate pukupuku o te tairoi, te mate pukupuku o te tairoi follicular, te repe tairoi, ngā puku o te kaki, ngā tohu o te mate pukupuku, te maimoatanga mate pukupuku, te pokanga tairoi